Provider Demographics
NPI:1629474820
Name:A TEXAS HEART FOR FAMILIES, INC.
Entity Type:Organization
Organization Name:A TEXAS HEART FOR FAMILIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-558-0090
Mailing Address - Street 1:100 ALLENTOWN PKWY STE 218
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4200
Mailing Address - Country:US
Mailing Address - Phone:214-674-9714
Mailing Address - Fax:469-656-9430
Practice Address - Street 1:100 ALLENTOWN PKWY STE 218
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-4200
Practice Address - Country:US
Practice Address - Phone:214-674-9714
Practice Address - Fax:469-656-9430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-15
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities